凡脉急甚,皆癫狂厥疾。癫脉搏大滑,久自已,脉小坚急,死不治。癫脉虚则可治,实则死。狂脉实
大者生,沉小则死。恍惚癫狂,实大为顺,沉细为逆。
〔逐痰〕控涎丹 见二卷痰饮。
〔安神〕琥珀散 琥珀 人参 茯神 远志 菖蒲 乳香 枣仁 朱砂
〔养阴〕滋阴安神汤 地 芍 归 芎 参 术 茯神 远志 南星(各一钱) 枣仁 甘草(各五分)
黄连(四分)
〔降痰〕安神滚痰丸 礞石 风化硝 朱砂(各一两) 沉香 珍珠(各五钱) 为细末,用天麻煎成膏,
杵丸芡实大,每服三十丸。
〔平肝〕生铁落饮 生铁落(八两) 石膏(三两) 龙齿 茯神 防风(各两半) 元参 秦艽(各一两)
煎成入竹沥一杯服。
〔痰壅〕导痰汤 见一卷中风。
〔清心〕牛黄清心丸 见一卷温。
〔痰血〕白金丸 见二卷痰饮。
〔心虚〕天王补心丹 见一卷火。
〔神虚〕归神丹 朱砂(二两,入猪心血,酒蒸,研) 人参 枣仁 茯神 当归(各二两)
西琥珀 姜炒远志 龙齿(各一两) 金箔、银箔各二十片为衣,酒糊丸,麦冬汤下九丸。
〔养神〕归脾汤 见二卷劳瘵。
〔通窍〕枕中丹 龟甲 龙骨 远志 石菖蒲 为末。酒调一钱,日三服。
〔壮水〕二阴煎 生地(三钱) 麦冬 枣仁(各二钱) 元参 茯苓 木通(各钱半) 黄连(一钱)
生甘草(五分) 灯心 竹叶(各十四片) 水煎服。
〔滋阴〕生熟养心汤 生地 熟地 当归 茯神(各二钱) 人参 麦冬(各一钱半) 五味(十五粒) 枣仁
柏子仁(各八分) 炙草(五分。)
〔因惊〕抱龙丸 水银(二两) 黑铅(一两半) 朱砂 乳香(各一两) 将铅入铫内熔化,下水银结成砂子,
次下朱砂、乳香。木锤杵丸。
〔因怒〕安神导痰汤 陈 夏 苓 星 枳 草 芩 连 远志 菖蒲 朱砂
〔痰壅〕清心滚痰丸 酒炒大黄 黄芩(各四两) 礞石(同焰硝 ) 犀角 皂角 朱砂(各五钱)
沉香(二钱) 麝香(五分) 水丸。
〔痰结〕甘遂散 甘遂一两研末,猪心血和匀,将猪心切开,入甘遂末于内,扎紧煨熟取药末,入辰砂末
一钱和匀,分作四丸,每服一丸。
〔气结〕四七汤 一名七气汤,见二卷咳嗽。
〔心火〕芩连清心汤 黄芩 黄连 麦冬 花粉 茯神 丹参 牛黄 菖蒲 远志
〔痰迷〕金箔镇心丸 胆星(一两) 天竺黄 琥珀 朱砂(各五钱) 牛黄 雄黄 珍珠(各二钱) 麝
香(五分) 蜜丸,金箔为衣。
〔心虚〕定志丸 人参 茯神 茯苓(各三两) 菖蒲 姜炒远志(各二两) 朱砂一两半为衣,蜜丸。
〔气血〕清心温胆汤 二陈汤加竹茹、枳实。名温胆汤。此
加白术 菖蒲 香附 当归 白芍 黄连 麦冬 人参 远志 生姜
〔补摄〕灵苑丹 朱砂(一两) 枣仁 乳香(各五钱) 共研细,酒调匀,作一服,服后安卧勿唤醒,则
神魂自定,若唤醒惊寤,则不可治。
〔复发〕断痫丹 黄 钩藤 细辛 甘草(各五钱) 蛇蜕(一条) 蝉蜕(四个) 牛黄(二厘)
枣肉为丸桐子大,每服二十丸,人参汤下。
〔妇癫〕加味逍遥散 见一卷火。
〔泻火〕大承气汤 见一卷温症。
〔涌痰〕来苏膏 皂角二两,酸浆水浸透研汁,砂锅内熬,用槐柳枝搅,熬成膏,摊纸上阴干,用温水化,
入左右鼻孔,取涎。
〔涌痰〕三圣散 见一卷中风。
〔表里〕洗心散 当归(二两) 麻黄 大黄 生术 白芍 荆芥 炙草(各一两) 每服三四钱,姜五片,
薄荷七叶,水煎。
〔泻火〕凉膈散 见一卷中风。
〔吐下〕胜金丹 白砒(一钱) 绿豆(三百六十粒,浸去壳同白砒研泥阴干) 山栀(十四枚) 雄黄
雌黄(各一钱) 急性子(二钱) 为末入牛黄、冰片,和糕饼食。
〔降火〕降龙丹 黑铅 水银(各一两) 先将铅入铫熔化,次入水银炒成粉,入∶金银箔(各五百张)
辰砂 蛇含石(各五钱) 蜜丸芡实大,茯神汤下三丸。
〔狂乱〕黄连泻心汤 黄连 生地 知母(各一两) 黄芩(二两) 甘草(五钱) 每服五钱。
〔心包〕郁金丸 郁金 朱砂 白矾
〔风涎〕通泄散 瓜蒂末三钱,加轻粉一字,水调匀,灌之涎自出。如未出,含沙糖一块下咽,涎即出。
〔神乱〕镇心丹 朱砂 枯矾 水丸芡实大,参汤下一丸。
〔惊悸〕辰砂安志丸 辰砂(二两) 姜炒远志 菖蒲 枣仁 乳香 归身 茯苓 茯神(各七钱)
人参(五钱) 猪心(一个,研如泥) 酒丸,枣汤下。
〔补魂〕龙齿清魂散 龙齿 远志 人参 归身(各两半) 茯神 麦冬 桂心 甘草(各三钱) 延胡(一两)
细辛(钱半) 每服四钱。
〔补魄〕清神汤 黄连 茯苓 柏子仁 远志 菖蒲 枣仁(各钱半) 甘草(五分) 姜汁 竹沥(各一匙)
水煎。
〔血室〕小柴胡汤 见一卷温。
Where the pulse is extremely rapid and tense, it indicates epilepsy (epilepsy), mania (mania), or jue disease (jue syndrome). In epilepsy, if the pulse is large and slippery, the condition may resolve spontaneously after a long duration; however, if the pulse is small, firm, and urgent, it signifies death and is incurable. If the pulse in epilepsy is deficient, it is treatable; if excess, it is fatal. In mania, an excess-large pulse indicates survival, while a deep-small pulse indicates death. In cases of mental confusion, epilepsy, or mania, an excess-large pulse is favorable (shun), whereas a deep-thin pulse is unfavorable (ni).
[Targeting Phlegm] Kongxian Dan (Control Saliva Pill) - See Vol. 2, Phlegm-Fluids Chapter.
[Calming Spirit] Hupo San (Amber Powder): Hupo (Succinite), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Rushiang (Olibanum), Zaoren (Ziziphi Spinosae Semen), Zhusha (Cinnabar).
[Nourishing Yin] Ziyin Anshen Tang (Nourish Yin Calm Spirit Decoction): Dihuang (Rehmanniae Radix), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Xiong (Chuanxiong Rhizoma), Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fushen (Poria with Hostwood), Yuanzhi (Polygalae Radix), Nanting (Arisaematis Rhizoma Preparatum) (each 1 qian), Zaoren (Ziziphi Spinosae Semen), Gancao (Glycyrrhizae Radix et Rhizoma) (each 0.5 qian), Huanglian (Coptidis Rhizoma) (0.4 qian).
[Descending Phlegm-Fire] Anshen Guntan Wan (Calm Spirit Rolling Phlegm Pill): Mengshi (Fluoritum Preparatum), Fenghua Xiao (Natrii Sulfas Efflorescens), Zhusha (Cinnabar) (each 1 liang), Chenxiang (Aquilariae Lignum Resinatum), Zhenzhu (Margarita) (each 5 qian). Pulverize into fine powder, use Tianma (Gastrodiae Rhizoma) decocted into paste to bind pills sized like Euryale Seed (Qianshi). Take 30 pills per dose.
[Pacifying Liver] Shengtieluo Yin (Falling Iron Drink): Shengtieluo (Lacus Ferri Preparatus) (8 liang), Shigao (Gypsum Fibrosum) (3 liang), Longchi (Dentaria Ossis Mastodi) , Fushen (Poria with Hostwood), Fangfeng (Saposhnikoviae Radix) (each 1.5 liang), Yuan Shen (Scrophulariae Radix), Qin Jiao (Gentianae Macrophyllae Radix) (each 1 liang). Decoct and add one cup of Zhuli (Bambusae Sap) before taking.
[Phlegm Obstruction] Daotan Tang (Guide Out Phlegm Decoction) - See Vol. 1, Wind-Stroke Chapter.
[Clearing Heart] Niuhuang Qingxin Wan (Calves' Gallbladder Clearing Heart Pill) - See Vol. 1, Warm Disease Chapter.
[Resolving Phlegm-Blood Stasis] Baijin Wan (White Gold Pill) - See Vol. 2, Phlegm-Fluids Chapter.
[Nourishing Heart Deficiency] Tianwang Buxin Dan (Heavenly Emperor's Heart-Nourishing Pill) - See Vol. 1, Fire Syndrome Chapter.
[Nourishing Spirit Deficiency] Guishen Dan (Return Spirit Pill): Zhusha (Cinnabar) (2 liang, steamed with pig heart blood in wine and ground), Renshen (Ginseng Radix et Rhizoma), Zaoren (Ziziphi Spinosae Semen), Fushen (Poria with Hostwood), Danggui (Angelicae Sinensis Radix) (each 2 liang), Xi Hupo (Western Amber), Jiang Chao Yuanzhi (Ginger-processed Polygalae Radix), Longchi (Dentaria Ossis Mastodi) (each 1 liang). Coat with 20 leaves each of Jinbo (Gold Leaf) and Yinbo (Silver Leaf), form pills with wine paste, take 9 pills with Maidong (Ophiopogonis Radix) decoction.
[Nourishing Spirit] Guipi Tang (Restore Spleen Decoction) - See Vol. 2, Consumption Chapter.
[Opening Orifices] Zhenzhong Dan (Pillow Center Pill): Guijia (Testudinis Carapax et Plastrum), Longgu (Fossilia Os Mastodi), Yuanzhi (Polygalae Radix), Shichangpu (Acori Tatarinowii Rhizoma). Pulverize, mix with wine, take 1 qian, three times daily.
[Strengthening Water] Er Yin Jian (Two Yin Decoction): Shengdi (Rehmanniae Radix Preparata) (3 qian), Maidong (Ophiopogonis Radix), Zaoren (Ziziphi Spinosae Semen) (each 2 qian), Yuanshen (Scrophulariae Radix), Fuling (Poria), Mutong (Akebiae Caulis) (each 1.5 qian), Huanglian (Coptidis Rhizoma) (1 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) (0.5 qian), Dengxin Cao (Junci Medullae), Zhuye (Bambusae Folium) (each 14 pieces). Decoct in water and take.
[Nourishing Yin] Shengshu Yangxin Tang (Raw and Cooked Nourishing Heart Decoction): Shengdi (Rehmanniae Radix Preparata), Shudi (Rehmanniae Radix Preparata), Danggui (Angelicae Sinensis Radix), Fushen (Poria with Hostwood) (each 2 qian), Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Radix) (each 1.5 qian), Wuwei Zi (Schisandrae Fructus) (15 grains), Zaoren (Ziziphi Spinosae Semen), Baiziren (Platycladi Semen) (each 0.8 qian), Zhi Gancao (Honey-processed Glycyrrhizae Radix et Rhizoma) (0.5 qian).
[Due to Fright] Baolong Wan (Embracing Dragon Pill): Shuiyin (Hydrargyrum), Heiqian (Leadum) (1.5 liang), Zhusha (Cinnabar), Rushiang (Olibanum) (each 1 liang). Melt lead in a crucible, add mercury to form granules, then add cinnabar and olibanum. Pound into pills with a wooden hammer.
[Due to Anger] Anshen Daotan Tang (Calm Spirit Guide Out Phlegm Decoction): Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Fuling (Poria), Xing (Nanting/Arisaematis Rhizoma Preparatum), Zhi (Aurantii Fructus Immaturus), Cao (Glycyrrhizae Radix et Rhizoma), Qin (Huangqin/Scutellariae Radix), Lian (Huanglian/Coptidis Rhizoma), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Zhusha (Cinnabar).
[Phlegm Heat Congestion] Qingxin Guntan Wan (Clear Heart Rolling Phlegm Pill): Jiuchao Dahuang (Wine-fried Rheum Palmatum Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 4 liang), Mengshi (Fluoritum Preparatum) calcined with Yanxiao (Natrii Sulfas), Xijiao (Rhinocerotis Cornu), Zaojiao (Gleditsiae Sinensis Fructus), Zhusha (Cinnabar) (each 5 qian), Chenxiang (Aquilariae Lignum Resinatum) (2 qian), Shexiang (Moschus) (0.5 fen). Form water pills.
[Phlegm Knot] Gansui San (Kansui Powder): Gansui (Kansui Radix) 1 liang pulverized, mixed evenly with pig heart blood. Cut open a pig heart, insert the Gansui powder inside, tie tightly, roast until cooked, retrieve the powder, mix with 1 qian of Chensha (Cinnabar), divide into four pills, take one pill per dose.
[Qi Knot] Siqi Tang (Four Qi Decoction) also known as Qiqi Tang (Seven Qi Decoction) - See Vol. 2, Cough Chapter.
[Heart Fire] Qinlian Qingxin Tang (Scutellaria and Coptis Clear Heart Decoction): Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Maidong (Ophiopogonis Radix), Huafen (Trichosanthis Radix), Fushen (Poria with Hostwood), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Niuhuang (Calves' Gallbladder), Changpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix).
[Phlegm Confusing Heart] Jinbo Zhenxin Wan (Gold Leaf Calming Heart Pill): Danning (Arisaematis Rhizoma Preparatum) (1 liang), Tianzhuhuang (Bambusae Tabulae), Hupo (Succinite), Zhusha (Cinnabar) (each 5 qian), Niuhuang (Calves' Gallbladder), Xionghuang (Realgar), Zhenzhu (Margarita) (each 2 qian), Shexiang (Moschus) (0.5 fen). Honey pills coated with gold leaf.
[Heart Deficiency] Dingzhi Wan (Stabilizing Will Pill): Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Fuling (Poria) (each 3 liang), Changpu (Acori Tatarinowii Rhizoma), Jiang Chao Yuanzhi (Ginger-processed Polygalae Radix) (each 2 liang). Coat with 1.5 liang of Zhusha (Cinnabar), honey pills.
[Regulating Qi and Blood] Qingxin Wendan Tang (Clear Heart Warm Gallbladder Decoction): Erchen Tang (Two Aged Ingredients Decoction) plus Zhuru (Bambusae Caulis in Taenia) and Zhishi (Aurantii Fructus Immaturus), named Wendan Tang (Warm Gallbladder Decoction). This formula adds Baizhu (Atractylodis Macrocephalae Rhizoma), Changpu (Acori Tatarinowii Rhizoma), Xiangfu (Cyperi Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huanglian (Coptidis Rhizoma), Maidong (Ophiopogonis Radix), Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix), Shengjiang (Zingiberis Rhizoma Recens).
[Astringing/Spirit Consolidation) Lingyuan Dan (Spirit Garden Pill): Zhusha (Cinnabar) (1 liang), Zaoren (Ziziphi Spinosae Semen), Rushiang (Olibanum) (each 5 qian). Grind finely, mix with wine, take as one dose. After taking, lie down peacefully without waking up, so the spirit will settle naturally. If awakened and startled, it becomes incurable.
[Relapse Prevention] Duanxian Dan (Seizure-Severing Pill): Huangqin (Scutellariae Radix), Gouteng (Uncariae Ramulus cum Uncis), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 5 qian), Shetui (Bombyx Batryticatus) (one strip), Chantui (Cicadae Periostracum) (four pieces), Niuhuang (Calves' Gallbladder) (2 li). Form pills with jujube flesh sized like wattle seeds, take 20 pills per dose with Renshen (Ginseng) decoction.
[Female Epilepsy] Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) - See Vol. 1, Fire Syndrome Chapter.
[Draining Fire] Dachengqi Tang (Major Order the Qi Decoction) - See Vol. 1, Warm Disease Chapter.
[Vomiting Phlegm) Lansu Gao (Lansu Ointment): Zaojiao (Gleditsiae Sinensis Fructus) 2 liang, soaked thoroughly in sour bean water, ground to extract juice, boiled in a clay pot, stirred with locust or willow branches, boiled into paste, spread on paper to dry in shade. Use warm water to dissolve, instill into left and right nostrils to draw out phlegm.
[Vomiting Phlegm] Sansheng San (Three Saints Powder) - See Vol. 1, Wind-Stroke Chapter.
[Exterior and Interior] Xixin San (Washing Heart Powder): Danggui (Angelicae Sinensis Radix) (2 liang), Mahuang (Ephedrae Herba), Dahuang (Rhei Radix et Rhizoma), Sheng Zhu (Raw Atractylodis Macrocephalae Rhizoma), Baishao (Paeoniae Radix Alba), Jingjie (Schizonepetae Spica), Zhi Cao (Honey-processed Glycyrrhizae Radix et Rhizoma) (each 1 liang). Take 3-4 qian per dose, with 5 slices of ginger and 7 leaves of bohe (Menthae Haplocalycis Herba), decoct in water.
[Draining Fire] Liangge San (Cooling Diaphragm Powder) - See Vol. 1, Wind-Stroke Chapter.
[Vomiting and Purgation) Shengjin Dan (Generating Metal Pill): Bai Pi (Arsenicum Album) (1 qian), Lv Dou (Vigna Radiata Semen) (360 grains, soaked, peeled, ground with Bai Pi into mud, dried in shade), Shanzhi (Gardeniae Fructus) (14 fruits), Xionghuang (Realgar), Xihuang (Orpiment) (each 1 qian), Jixingzi (Cardiospermi Semen) (2 qian). Pulverize, add Niuhuang (Calves' Gallbladder) and Bingpian (Borneolum Syntheticum), mix into cake/biscuit for consumption.
[Descending Fire] Jianglong Dan (Subduing Dragon Pill): Heiqian (Leadum), Shuiyin (Hydrargyrum) (each 1 liang). First melt lead in a crucible, then add mercury and stir-fry into powder. Add Jin Yin Bo (Gold and Silver Leaves) (each 500 sheets), Chensha (Cinnabar), Shehanshi (Omphalodis Lapillus) (each 5 qian). Honey pills sized like Euryale Seed, take 3 pills with Fushen (Poria with Hostwood) decoction.
[Maniacal Disorder] Huanglian Xiexin Tang (Coptis Draining Heart Decoction): Huanglian (Coptidis Rhizoma), Shengdi (Rehmanniae Radix Preparata), Zhimu (Anemarrhenae Rhizoma) (each 1 liang), Huangqin (Scutellariae Radix) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (5 qian). Take 5 qian per dose.
[Pericardium] Yujin Wan (Curcuma Pill): Yujin (Curcumae Radix), Zhusha (Cinnabar), Bai Fan (Alumen).
[Wind-Phlegm) Tongxie San (Unblocking and Draining Powder): Goudi Mo (Melon Peduncle Powder) 3 qian, add Qingfen (Calomelas) one zi (approx. 0.1-0.2g), mix with water, administer orally to induce expectoration of phlegm. If not expelled, swallow a piece of rock sugar, and phlegm will be expelled.
[Spirit Chaos] Zhenxin Dan (Calming Heart Pill): Zhusha (Cinnabar), Kufan (Calcined Alumen). Water pills sized like Euryale Seed, take one pill with Renshen (Ginseng) decoction.
[Fright and Palpitations) Chensha Anzhi Wan (Cinnabar Calming Will Pill): Chensha (Cinnabar) (2 liang), Jiang Chao Yuanzhi (Ginger-processed Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Zaoren (Ziziphi Spinosae Semen), Rushiang (Olibanum), Guishen (Angelicae Sinensis Radix), Fuling (Poria), Fushen (Poria with Hostwood) (each 7 qian), Renshen (Ginseng Radix et Rhizoma) (5 qian), Zhuxin (Pig Heart) (one, ground to paste). Wine pills, take with jujube decoction.
[Nourishing Hun Soul) Longchi Qinghun San (Dragon Tooth Clearing Hun Soul Powder): Longchi (Dentaria Ossis Mastodi), Yuanzhi (Polygalae Radix), Renshen (Ginseng Radix et Rhizoma), Guishen (Angelicae Sinensis Radix) (each 1.5 liang), Fushen (Poria with Hostwood), Maidong (Ophiopogonis Radix), Guixin (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 qian), Yanhu (Corydalis Rhizoma) (1 liang), Xixin (Asari Radix et Rhizoma) (1.5 qian). Take 4 qian per dose.
[Nourishing Po Soul) Qingshen Tang (Clearing Spirit Decoction): Huanglian (Coptidis Rhizoma), Fuling (Poria), Baiziren (Platycladi Semen), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Zaoren (Ziziphi Spinosae Semen) (each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 fen), Jiangzhi (Zingiberis汁), Zhuli (Bambusae Sap) (each one spoonful). Decoct in water.
[Blood Chamber) Xiaochaihu Tang (Minor Bupleurum Decoction) - See Vol. 1, Warm Disease Chapter.